Rural Project Examples: Effective
Browse rural projects that meet this collection's second highest level of evidence. For each example listed, the approach has been reported in a peer-reviewed publication.
New Mexico Mobile Screening Program for Miners


Updated/reviewed April 2025
- Need: To increase access to medical screening for miners in New Mexico.
- Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
- Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
Parent Partners
Updated/reviewed April 2025
- Need: To support parents whose children have been removed from the home so that the parents can make the changes needed for the children to return safely home.
- Intervention: A statewide program in Iowa pairs these parents with mentors who have successfully navigated their own child welfare cases.
- Results: Participants' children were more likely to return home than non-participants' children, and participants were less likely to have another child removal within a year of the child coming home.
Wyoming Trauma Telehealth Treatment Clinic
Updated/reviewed April 2025
- Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
- Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
- Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.
Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed March 2025
- Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
- Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
- Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.
Spit It Out-West Virginia
Updated/reviewed March 2025
- Need: Due to West Virginia's high ranking for its use of smokeless tobacco, prevention and cessation education efforts were needed.
- Intervention: Development and implementation of the Spit It Out-West Virginia program.
- Results: Supported by a 2008-2010 grant allowing the program to be delivered to hundreds of people, 5 workplaces became tobacco free. The program continues to be delivered across the state and reaches hundreds with its face-to-face presentations and thousands with its specific media prevention and cessation messages.
Farm Dinner Theater
Updated/reviewed November 2024
- Need: To encourage farmers to make health and safety changes on their farms.
- Intervention: Farm Dinner Theater is an event in which farmers and their families watch three 10-minute plays covering health and safety topics and then discuss solutions to the issues addressed in each.
- Results: In a study, farmers who attended the plays were more likely to make changes and tell others what they learned, compared to farmers who received an educational packet with the same information.
Medical Legal Partnership of Southern Illinois
Updated/reviewed November 2024
- Need: Legal barriers often prevent low-income people in Southern Illinois from obtaining positive health outcomes despite receiving medical care.
- Intervention: The Medical Legal Partnership of Southern Illinois (MLPSI) was formed to create a system where medical providers can refer patients in need of legal assistance to local attorneys.
- Results: Over 5,700 patients have utilized MLPSI since its founding in 2002. The program has relieved over $8.1 million in medical debt for both hospitals and patients.
Kentucky Homeplace
Updated/reviewed October 2024
- Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
- Intervention: Kentucky Homeplace was created as a community health worker initiative to provide health coaching, increased access to health screenings, and other services.
- Results: From July 2001 to June 2024, over 196,801 rural residents were served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.
OHSU Rural Surgery Training
Updated/reviewed October 2024
- Need: General surgeons are needed in rural communities.
- Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a general surgery rotation in rural southern Oregon.
- Results: 19 graduates of the rural residency program are currently practicing in a rural setting. The residents remain more likely than other OHSU residents to enter general surgery practice and to serve in a community of fewer than 50,000 people.
Meadows Diabetes Education Program

Updated/reviewed September 2024
- Need: To provide diabetes care and education services to those in rural southeast Georgia.
- Intervention: Diabetes outreach screening, education, and clinical care services were provided to participants in Toombs, Tattnall, and Montgomery counties. The program is no longer active.
- Results: Patients successfully learned self-management skills to lower their blood sugar, cholesterol, and blood pressure.